HCS Annual Report 2022

BOARD OF DIRECTORS

David Therrien Chair

Virginia Jordan Vice-chair

Eric Horne Treasurer

Julie Green Secretary

Michael Chelstowski Director

Mary Davis Director

Julie Greenwood Director

Ann Heffernon Director

Jane Larmon

Immediate Past Chair

Maura McQueeney

President and CEO

SENIOR LEADERSHIP TEAM

Maura McQueeney, MPH, DNP

President and CEO

Susan Ashworth, MBA Director of Community Relations

Laura Brow, RN

Director of Clinical Operations

Jessica Mack, MBA

Director of Operations & Education, Corporate Compliance Officer

Gayle Murphy

Allen Mendelson Director

Dawn Michelizzi CFO

Judy Sadoski Director

David Stinson Director

Julie Tewksbury Director

Vice-President for Human Resources

Sareen Sarna

Director of Growth and Development

MISSION

To provide services which enable people to function throughout life at their optimal level of health, well-being, and independence, according to their personal beliefs and choices.

VISION

To be the leading regional provider for the continuum of care through home health, hospice and community services.

VALUES

HCS values the spirit and talent of a diverse and inclusive workforce that can use evidence to support practice, employee competence, and meaningful work in our holistic approach to meet the health and wellness needs of individuals and families. We value the ability to change nimbly with the aid of technology and continuous improvement and which protects the rich relationships that lead to professional collaboration and donor confidence.

our future.

Dawn Michelizzi CFO

LETTER FROM OUR BOARD CHAIR AND CEO

Dear HCS Community,

It is a pleasure to share this Annual Report with you and to take a moment to celebrate HCS’ achievements of the past twelve months. As you read the stories and view the photos that capture the highlights of HCS in 2022, we wish to acknowledge the remarkable behind the scenes work of the Board of Directors and Senior Leaders who managed to negotiate another year of constant change.

As government reimbursement chiseled another 2% out of home health and hospice revenue, and wage competition accelerated for professional staff, our board and senior leaders made bold decisions to invest in program growth and enriched compensation to serve more people in the community and retain quality staff- the heart and soul of HCS.

None of the stories or photos in this report capture the confident support of board members who patiently waited for the agency to complete its conversion to a new electronic medical record. Bringing accurate and safe information to the bedside was the goal, but delaying essential reports was discomforting. Pictures are worth a thousand words, but they do not reflect the human investment of thousands of hours of education and planning needed to complete the audacious step of merging the formerly separate programs of home health and hospice into a seamless care delivery system.

We hope to grab your attention with colorful graphics here but we want you to know it is the day in and day out collective work of board and staff showing up to do their best for each other and this community that is the true celebration of HCS.

Sincerely,

David Therrien, Board Chair

Maura McQueeney, President and CEO

Honoring our past...Visioning

future.

HONORING OUR PAST, VISIONING OUR FUTURE

The first Visiting Nurse Association in southwestern New Hampshire began on September 17, 1907 when Miss Mary Morison and seven of her friends gathered in Peterborough to write the first chapter of what would become Home Healthcare, Hospice and Community Services (HCS). In 2022, HCS crosses another milestone celebrating 115 years of bringing health, independence, and well-being through a wide range of home care and community services.

Throughout the pages of this report, we honor our past using pictures from throughout our history, and our daily work visions our future. HCS is more than you can imagine.

future.

Honoring

CARE

John* was a long time Home Health patient who lived with his elderly parent. John’s medical issues were complex, painful, exhausting, and involved the need for treatment at a clinic three times a week. As his varied conditions worsened or created new functional challenges, John’s dedicated Nurse, Social Worker, and Occupational Therapist partnered with him in a palliative approach to help him find ways to feel more in control of his life, his plans, his physical comfort, and his family needs.

In time, the HCS Palliative Advanced Practice Registered Nurse and Palliative Social Worker were added to his support team. The Palliative Social Worker supported John through creating advance care plans as it became clear his life expectancy would be limited. Additionally, the Palliative Social Worker assisted John’s elderly parent in pursuing a care facility as she would need more assistance with her own care once John passed.

For a long time, John was not ready to stop his treatments, however the conversations about end-of-life planning and Hospice helped him to accept his limited remaining time and death as a part of life. John’s HCS Home Health and Palliative team walked with him every step of his path until he felt ready to enter Hospice. From the beginning of his time with HCS many years ago, to his recent final days, the Home Health, Palliative, and Hospice teams were deeply honored to serve John and his family and help him fulfil the peaceful passage he hoped for, in the surroundings of his choice.

HOME SUPPORT SERVICES

Most of us have a long “to do” list of household chores that are part of our normal everyday routine. For many older adults and those with disabilities, though, there is nothing “routine” about the laundry, cleaning the refrigerator, changing the bed linens or going to the grocery store or pharmacy. These tasks require calling on others to help; and for those with no nearby relatives or friends, that help may come from the HCS Home Support Service.

Take Sandra*, who is 61, with multiple diagnosis, including arthritis. She has also been recovering from back surgery. Sandra lives alone and is so appreciative of her home support provider who comes weekly. Says Sandra, “I look forward to seeing her on Fridays because she brightens my day with a cheery smile and kindness. She shops for me and is mindful of my dietary needs and keeps my house clean and tidy! I am so grateful to have such a wonderful, caring person to help me stay independent!”

*Name changed

changed

LIFE ENRICHMENT DAY PROGRAM CASTLE CENTER

“The Castle Center really has two aims,” says Mary Lucas, the nurse administrator. “Not only do we provide a stimulating and safe day for the participants, but we also give their caregivers a much-needed break.” Southwestern New Hampshire experiences the highest percentage of older residents with dementia in the state and more and more families are turning to the Castle Center for help.

Burnout is extremely high for those caring for people with dementia or other complicated illnesses and HCS is committed to supporting these caregivers. Whether it is five days a week so that they can go to work, or just a day so that they can have some time for themselves to recharge, the Castle Center is open to support these families.

This year the Castle Center launched Caregiver Luncheons, so that family members can come in and have lunch too. “It is just a nice break,” said one caregiver “Not only is it one meal I don’t have to prepare, but it is so nice to sit in a relaxed atmosphere and have the people around you understand what you are going through.” The luncheons are open to all caregivers in the community as well.

Caregiver support groups restarted this year, facilitated by John Everest, who also facilitates the Hospice bereavement groups. Caregiver support groups happen in person or over Zoom to accommodate caregivers in a variety of situations. “There are so many great opportunities at HCS for caregivers to connect with each other and share their ups and downs, particularly of caring for a family member with dementia,” says Mary.

The Healthy Starts program took a leap forward this year, opening a Family Resource Center, a comfortable and private place for families to access the resources they need. “Opening the Family Resource Center has significantly increased our outreach to the community,” says Amy Delisle, the Center’s coordinator. Amy is regularly available to help navigate the maze that people often face when applying for help. “Families can meet with Healthy Starts staff or come in to use the computer, have privacy to make phone calls, print out documents needed for applications, and give their kids a safe place to play while they are doing all of this.”

Donna* is eight months pregnant and she and her significant other are living in their car. Donna is one of the 28 homeless families that are enrolled in the Healthy Starts program this year and she uses the Family Resource Center as a base to use the computer to send in applications and make phone calls for housing. Healthy Starts has also been able to pay for a spot at a campground and will provide her with baby supplies.

Healthy Starts workers help with whatever situation people may find themselves in, from pregnant moms like Donna, to parents struggling to understand their teens behavior, to an older

gentleman who just needed a little help with a job application. Healthy Starts has twelve social workers, nurses, and family support workers who are on the front lines of helping families navigate all kinds of challenges. “Sarah is my case worker and she has helped me in so many ways, I can’t even imagine where I’d be without this program” says a thankful Healthy Starts recipient. Social workers plan play groups, Baby and Me groups, cooking classes, and other educational sessions for anyone struggling with a new role in a changing time like first-time parents and kinship families.

Kinship families – grandparents or other family members who are parenting a related child - also seek out the support that the Family Resource Center offers. The Family Resource Center has become a resource for all ages and regularly goes on the road to the Keene Public Library and to the ELMM Community Center to reach our broader community.

As for Donna, things are getting brighter – she will move into her new home just before her baby is born. And Healthy Starts will be there with baby supplies and the supports she needs to give her baby a healthy start.

*Name changed

TRANSPORTATION

When Florence* moved to senior housing in West Swanzey, she was delighted to have a beautiful apartment in a country setting at an affordable rent. As she got older, health issues forced her to stop driving. Giving up driving is a life-changing loss for residents like Florence. Simple things like purchasing groceries or getting to a doctor’s appointment becomes a logistical nightmare, not only for the elder, but also for their neighbors and family members. For Florence, who has no family, it meant paying a neighbor for rides out of her already limited income and going to the store only when her neighbor could accommodate her.

Residents like Florence pose great concerns for senior housing managers, who often have many residents they try to connect with resources. Said Ruth McDonough, social services coordinator for a local senior housing complex, “I am so happy and grateful for this! This is a real “life changing” path of independence for some of these people. Not being dependent on others for their shopping is wonderful.”

As part of the Transportation Equity Project, funded through the Centers for Disease Control and Prevention (CDC) this year, the Friendly Bus was able to expand services along the Route 10 south corridor to Winchester, including to Florence’s apartment building in West Swanzey. She was standing in front of the community building waiting for the bus when it arrived for the very first trip. “I know that I can depend on the bus to come every week and take me shopping. The driver will help me with my packages and since we are going as a group it is fun to go with other people. And the fact that it is by donation helps me spend a little more on groceries.” In 2023, the Friendly Bus will celebrate fifty years of providing mobility and independence to seniors and those with disabilities and is rolling into rural areas to increase transportation equity into the future.

*Name changed

To call Clifford a survivor is a bit of understatement. Now 104 years old, he survived the flu epidemic of 1918 as an infant and more than a century later, battled back from a bout of COVID-19. “Dad’s a resilient person,” said his daughter Nora.

Clifford has had a long and storied life – from serving in World War II to raising his family in the Monadnock region. With the help of his daughter, Clifford is still able to live at home. He’s been getting meals on wheels for about six years and says, “I really like the meatloaf and the salad.”

On this day, Clifford and Nora have a friendly banter with Will, a Meals on Wheels Driver. “The people who bring the meals are great, the people at the office are great,” Clifford says.

From Nora’s perspective, having the meals home delivered is an important part of her father being able to stay at home. “This is where dad wants to be, and Meals on Wheels is a big part of that!”

*Names have been changed to protect privacy.

Honoring

past...Visioning our future.

BARBARA R. DUCKETT

SCHOLARSHIP AWARD

The Barbara R. Duckett Scholarship was created in November of 2013 to honor Barbara on her retirement as CEO of HCS. Barbara served HCS in the leadership position for thirteen years. She was and remains deeply committed to this community and to helping it continue to be able to meet its healthcare needs with a steady cadre of educated and trained professionals. The Scholarship is designed to assist those already in the healthcare workforce to advance and elevate their skills and competence and to attract new caregivers to the field. Scholarships are awarded annually to staff who are pursuing certification, licensure or advanced degrees in any of the healthcare fields - nursing, physical therapy, occupational therapy, nursing assistants, or healthcare administration.

Barbara is personally aware of the significance of financial support in pursing educational goals. Upon graduating from high school, out of necessity, Barbara applied for and received multiple scholarships which allowed her to enter and complete her nursing education. Her understanding of the need to help and support others inspired the creation of the Scholarship Fund.

THIS YEAR’S SCHOLARSHIP WINNERS ARE:

Staci Branon Social Worker in Healthy Starts Attends Simmons University, MSW Candidate

Katie Hart

Analyst for Integration and Infrastructure Support and Executive Assistant Attends UNH Paul College of Business and Economics, MBA Candidate

PAST SCHOLARSHIP WINNERS

2021: Jaime Donovan - Katie Hart - Vanessa Sheehan, RN

2020: Staci Branon, BS - Chauntelle Carty, RN - Patricia Martel, LNA - Vanessa Sheehan, RN

2019: Patricia Martel, LNA - Vanessa Sheehan, RN - Hayley Warner, RN

2018: Chaille Cohen - James Fandino, COTA - Kerri Immergut, RN, BSN, MS - Vanessa Sheehan, RN

2017: Catherine Braught, RN, BSN - Vanessa Sheehan, RN - Dee Smith, RN, BSN

L to R, Katie Hart, Barbara Duckett, Staci Branon

SUSAN G. ASHWORTH COMMITMENT AWARD

Last year, we were pleased to present the 2021 Susan G. Ashworth Commitment Award to Laura Brow, Director of Clinical Operations, and Penny Vaine, Program Manager for Healthy Starts at HCS. The award is presented each year to the person who exemplifies commitment to the mission of HCS and its clients.

Laura was nominated for her dedication to this agency and its patients. Her commitment is manifested daily in her willingness to take on any task that needs to be done, and problem solve even when in the midst of a million other priorities.

Penny was nominated as a leader who emulates commitment. Guiding the Healthy Starts team to manage our clients and families is her priority. She is always available to brainstorm in her “Penny way” and help staff figure out solutions that can be seemingly impossible.

Congratulations, Laura and Penny!

HISTORY

Susan G. Ashworth’s entire career has been based on cultivating grassroots support for eldercare in the community and getting programs in rural areas off the ground. Early in her career, Susan established the Meals on Wheels program and fostered the Friendly Meals and Friendly Bus programs. Those programs, along with the eight visiting nurse organizations in the area later came together to become Home Healthcare, Hospice and Community Services, the unique organization we know today. For the next forty years, Susan assumed multiple leadership roles and created the HCS Nutrition Program, Transportation Program, Castle Center Adult Day Program and Community Relations and stepped in as Interim CEO twice. Susan became the credible face of HCS in its appeals for grants and municipal funds, philanthropy, and outreach.

If any word sums up Susan’s essence, it is the word commitment. In 2018, the board of HCS voted to recognize the rich contributions of Susan G. Ashworth, currently our Director of Community Relations, and bestowed upon her the inaugural Susan G. Ashworth Commitment Award.

The award is based upon written nominations that strongly reflect how the nominee meets four characteristics of Susan G. Ashworth’s service: the person’s actions reflect a Love of HCS’ as a service organization, a willingness to tackle difficult and complex work, forthright conversation, and equanimity in stressful situations. Any employee may make a nomination. Employees eligible for the award may work in any department; can be full time, part time, or per diem; and must be employed by HCS for at least 2 years.

PAST AWARDEES

2018 Susan G. Ashworth

2019 Richard Skeels

2020 Entire HCS Staff

2021 Laura Brow and Penny

Laura Brow

Penny Vaine

The 2022 Susan G. Ashworth Commitment Award will be announced at the 2022 HCS Annual Meeting.

Susan G. Ashworth

Susan G. Ashworth (middle), 1970’s

THANK YOU TO OUR

DONORS WHO HAVE HONORED OUR PAST, AND VISION OUR FUTURE

INDIVIDUAL DONORS

Anonymous (41)

Carita & Liby Aarnio Tecia Abatelli Mary Pat Acerno Michael Acerno David G. & Sally A. Adams Kim Ahlberg Erich P. & Natalie Ahnert Joyce Aldrich Mildred Aldrich Ann M. Alexander Joseph W. & Carrolla S. Alger William J. & Sally J. Allen Mary S. Allinson Elizabeth A. Allyn & Julie A. Whitney Catherine Altobelli Tawny Alvarez Nancy Alves-Folsom Pamela L. Amer Heather & Richard Ames Joan R. Ames

Ramona Anderson & Joseph T. Kohler Louise & Robert Anderson Anne Anderson Charles L. Andrus Barbara & Donald Arguin Donna Arnold Sharon Arnone Steve & Vicki Arsenault Doni Ash

Susan G. Ashworth Ann Aubre Hanson

Betty C. Audette Kris August Sarah Avery Richard Ayers Robin & David R. Babin Vickey & David L. Bacon Marla Baker Kathleen & William J. Baldasaro Judith G. & Clark S. Baldwin Joseph Baldwin Eleanor C. Ball Anne & James Banghart Dorothy F. & David M. Barden Charles Barilla

Marcia J. & Thomas H. Barrett Rebecca R. Barrett Ruth G. Barrett

James E. & Nancy W. Barry Shirley Bartashevich

Elinor Bashe

Cecily Bastedo Laura Bates

Jill I. Batty & Daryl L. Stutes Dorothy A. Bauer Stephanie Baute Klaus J. & Christine M. Bayr Kathleen A. Beam Gary D. Beauchesne Harriet J. Beckwith

Patricia A. & David B. Beffa-Negrini Neil P. Begley Catherine A. Behrens Cheryl Belair Craig J. & Jenifer K. Bell Lorraine Bellows Carol M. Benda Michael & Joan Benik Jeanne E. & Dean W. Bennett Gale Bennett Virginia Benoit Teresa E. Berard Sarah Berg Janet Berget Beth S. & Joseph G. Bergman Cathy L. Bernius Joan Berriman RG Bianchi David & Suanne Bickum Kathleen M. & Steven D. Bill Donna M. & Frederick J. Bingham, Sr. Judith E. Bischoff Lorraine Bishop Ruth C. Black Margaret M. & Gregory Blackburn Kathryn & Michael Blair Kristin D. Blais and Michael T. Foot Robin Blais Helen Blais

Nancy A. & H. Robert Blake Deborah J. Blanc Linda Blicker Sarah Bodington Eileen Boer Andrew & Misty Bohannon Ashely Bombicino Steve & Gay Bonilla Pierre L. Bonneau Rebecca A. Bouley Lori A. Bourassa Constance & Robert Bowblis Barbara J. & Douglas E. Bowen, Jr. Elaine M. & John A. Boynton Phoebe Bray Jill & P. Donald Brehm Pamela L. Brewer Sarah Brewer Clark Eleanor Briggs Valerie Britton Ellen Brnger Karen L. Brook Nancy Brooks Faith Brousseau Laura & Daniel Brow Gwendolyn D. Brown Sally G. Brown Richard Brubaker Lynn M. & Henry F. Brunjes, Jr. Anna K. Brunk Pauline Brusco Ward Bryant

Nancy L. Bryce Constance Buch

Joanne A. & Bruce C. Buck Raella Bueno Sally & David Bulger Benjamin L. & Frances Bullock Linda O. & Kenneth R. Bundy Donald W. & Cynthia Burgess Betty Burgin Diana Burnham Suzanne S. & Larry G. Butcher Jane & Richard Butler Russell Butler H. Meade Cadot Anne Marie Caissie Joe & Donna Calabro Cathy Cambal-Hayward John N. Cameron Nancy & Henry A. Campbell Maryann Campbell Sally J. & Michael Candello John & Cynthia Cantin Esther M. Cantua Jean F. Caputi Kathleene Card Stephen A. Carey Catherine S. Carleton Susan W. Carlson Paula Carr Theresa Carreira Elaine Carril Consuelo B. & David Carver James Casey Neal Cass Laurie Castine Scott & Marcia Caswell

Joyce A. & Richard Cate, Jr. Nancy & John W. Caveney Clarke O. Center & Carole Reid Mercedes Cernuda Nancy Chabott Theodore Chabott Carol Chaloux Jerry & Emmy Chamberlin Janet Chamberlin Dianne S. Champion Maureen E. Chandler Kathleen & Michael R. Chelstowski Marguerite Cheney Elizabeth C. & Michael Christiansen William H. Chumley Elizabeth H. & Richard P. Church James Clark Nancy Clark Jeffrey A. & Cynthia Clarke Ann S. Clarkeson Philip Clay Colleen Cleveland Kimberly Clift JoAnne M. Cobban Barbara & Ronald Coburn

Ann D. Cochran

Jan & Richard B. Cohen Stephen Collette Pat Collier

Martha B. & Maurice W. Collins, Jr. Valerie Collins

Jeffry Comanici

June and William S. Congdon Cathy Ann & Richard Meyer

Marcelle L. Connare Patricia Coody Anna M. Coombs

Alice C. Corkery Donna Cormier Michael Cornog Margaret Costick Elizabeth B. Cotter

Sharon S. & Dale A. Courtney Rachel Courtney Steven D. & Christine Crandall Marlin & Nancy Crawford Mary Crocker Thomas E. Cross Debbra A. & Larry L. Crowder Charlotte M. & Wayne F. Crowell Electra Cummings Donna M. & Joseph M. Cunningham Kimberly & Gregory C. Curry Anthony A. D’Ambrosio Dorothy R. Damiano

Ruth Daniels

David A. & Sharon L. Davis Mary Ann & J. Michael Davis Katherine H. Davis Small Ann A. Day Hilda L. De Moya Darlene J. Deane

Dawn Decoursey Joseph Delaney Mary A. DeLisle

Elisabeth Densley

Marguerite Deschenes

June & J. Roland Despres John Despres John Devin Gregory Diemer

Elisabeth Dignitti Kenneth R. Dion Christine Doane Dennis A. Donegan Steven Donohue Jaime Donovan Anne Doucet Diane & Timothy Dougherty William Douglas Rosemarie Dowling Sarah Downing Susan A. Doyle Susan C. Doyle Michael & Gail Doyon Natasha Drew

THANK

WHO HAVE HONORED OUR PAST, AND VISION OUR FUTURE

Margaret A. Driscoll

Audrey S. Drogseth

Therese Drotts Sharon L. Dubruiel Barbara R. Duckett and John McPeake Patricia C. & Richard B. Dugger Margaret L. & Michael Dunham Sarah Dunholter Beth Dunn-Somero Dolores Durant Helen L. Durgy Kathleen A. Durgy-Concepcion William J. Dusavitch Donald E. & Elsie L. Dyer Denis J. Dynan Edward J. Eason, Jr. Roger & Gloria Eastman Caroline Edge Larry Eger Jean Ellis

Alfrieda J. & Robert J. Englund Pam Erdmann Audrey C. Ericson Frederick & Else Ernst John & Doris Ernst Peter Espiefs Barbara F. Ewels Caroline & Thomas M. Ewing Madalyn L. Fadden Ann F. & J. Roderick Falby Edith H. Fallon Joely A. & John F. Fanning Robert & Jeananna M. Farrar Susan S. & Richard W. Farrell Melanie Farwell Charles S. & Charlotte F. Faulkner Diane Faureau Mary Lynn Fayoumi David Fenuccio Bryan Field Wendy Fieser Jackie Filiault Diane Finnell Linda M. Fish Wayne & Carol A. Fisher

Thomas F. & Susan F. Fitzgerald Susan Fitzgerald Lauren Fitzpatrick

Susan L. & Richard E. Flagler, Jr. Deborah L. Fleming and Michael Timmerman

Paula K. & Donald N. Flemming Wilma L. Fletcher Lisa & George B. Foote, Jr. Michael B. & Elizabeth M. Forrest Greg Fortier Evelyn Fortner Mary Fosher John B. Foster Susan Foster Ernest M. Found Barry N. Fowler Sue Frances Anne B. Francisco

Joslin K. Frank John Franklin Dorothy & Jason Frazier Richard W. Freeman Marilyn D. Freeman Daniel G. Frigulietti Gilbert & Alice Fuld Christina N. & Robert K. Furlone Annie J. Gagnon Ann M. Gagnon

Abigail & Glenn Galloway Paula K. & L. Robert Galloway David Galluccio Francoise C. & Gerald J. Galus Barbara S. Gard Mary Helen Gardner Kate Gardner Jonathan & Virginia Gaspar Jay M. Gaudry Darryl Gauthier Shirley E. & Arthur A. Geiss Herve Gelinas Jacqueline Gervais Greg R. & Peggy Getty Catherine E. & Lucien J. Gilbert Beth Gilmore James & Judy Gilmour Linda Giragosian William & Sharon J. Goddeau Tena Goen Sandra A. Goff Yvonne P. Goldsberry & Cherie A. Holmes Jennifer Gomarlo Ellen M. Gomarlo Charles & Sally A. Goodale Pamela Goodell Francoise R. Gooding Mary Goodnow Barbara K. Summers & Willard W. Goodwin Vicki Goodwin Norma S. Gormley Janet Gormley Andrea Gott Michael Grab Steve Gracien Margot J. Graham Hal Grant

Nancy & Bruce Graves Carl J. & Karin M. Gravina Peter L. & Cathy N. Gray Harriet Gray Mary Lee & Russell J. Greaves Alison A. Green Julie & Douglas Green Beth Green Julie E. Greenwood Robin Gregg James J. Griffin Anne M. Griffin John J. Grignon Ginnette G. Groome Kathleen & Mark Gross

Nancy Gunther Shannon Gutterson Charlotte S. Guyer Jaren Haber

Kathy & Samir J. Habiby Helen F. Hale Elizabeth Hale Nancy K. & James N. Hall Jaide Hall Jane Hall Kathleen Halverson Georgianna Hamilton Sylvia J. Hamilton Richard O. Hanes Elke & Tom Hanna Elizabeth L. & Peter D. Hansel Nancy W. & H. R. Hansen Paul & Eleanor M. Hardy Barbara A. Harling James Harrington Elizabeth B. Harris Katie & John T. Hart Jr. Kathleen M. & Harry O. Hart Joseph Hart Debra Hathaway Anne R. & Thomas Havill Susan Hayes Jay Hayston Elizabeth T. Hebert Cheryl Hedayat Peter W. Heed Ann K. Heffernon Roberta Heinonen Sharon Helie Billie & Joel Heller Ann Henderson Kimberly Henderson Sussan D. & Paul R. Henkel Melissa R. & Kenneth J. Herman Heidi H. Hernes

Dorothy A. & Eric C. Herr Debbie A. Hill Edith Hill

Nancy L. & James Hillier Leonard & Frances Himmelberg Petra Hines Susan J. Hipple Lisa Hodgen Joanne D. & J. Robert Hof Julius R. Hof, Sr. Jean & John E. Hoffman Patricia G. Hoffman James A. & Deb J. Hogancamp Richard & Alison Holbrook John K. & Patricia Holland Christopher Holman Marci Homan

Jacqueline M. & Stephen L. Hooper Teresa M. & Eric J. Horne Charles & Susan M. Horton Ginny Houle-Ryder Michelle & Charles R. Howard Nancy Howard Sharman Howe

Jane M. Howe

Paul A. & Barbara Hudgik Pam Hudson

Stephanie & Todd Hunter Eric Hunter

Lorraine Hurt

Patricia B. A. & Carl I. Ingelstrom Mary & Robert G. Ingram Curtis Ippolito

Anne-Marie Irwin

Richard & Kathleen Isakson Brenna L. & Tobias G. Iselin Ruth & Carl B. Jacobs

Larry & Eunice Jadlocki Catherine Jahos

Andrew Jellie Catherine E. Jenness

Cornelia P. & Peter Jenness

Cynthia Y. & David P. Jewett

Lynn Johns

Carroll Johnson Clifford Jones Mary Jane Jones

Virginia & Michael Jordan Constance R. Joyce

Carol Jue Larry & Ashton Kane Andrew Kaplan & Daniell Jackson Karena Karo Margaret Kasschau Broderick Kaufhold Karen Kay Marcia Kayser Jean T. Keefe

Risa G. & Douglas W. Keene Helen Kelly Richard A. Kelly Edie Kemp

Edmund & Catherine Kenney Carol R. Kern Peter Ketcham Megan B. Kidder Katherine King

Elaine P. Kirby

Elaine F. Knight Susan Kobus Nancy W. Kohler

Leonard & Brenda Korpi Holly Koski

Michele M. Koson

Donald & Mary Ann Kowalski

Ruth Kowalsky

Suzanne S. & Paul J. Krautmann

Colleen Kurlansky

Sally A. & Louis J. LaBarre Karen & Andrew LaBelle

Nancy LaBonne

Thomas C. & Linda A. Lacey Barbara G. & Walter H. Lacey

Bonnie S. & Gary Lambert

Jean Lambert

Thomas & Dolores Lancaster

Nancy Lane Jane G. & Steven Larmon

THANK YOU TO

DONORS WHO HAVE HONORED OUR PAST, AND VISION OUR FUTURE

Mary Larsen Larissa Larson Brenda Lashua Barbara J. & Murray A. Latti Kim Lauer

Mary LaValley Lisa & Anthony Lazzaro Donald R. & Joyce G. Lebrun Katherine Snow & Paul Ledell Karen L. & Richard D. LeDuc Robert & Mary Lefebvre Marion Lefrancois Theresa Lehnen Charles T. & Sheila M. Lennon Carol A. Lepisto Judy Lessard Lisa Letizio Margaret A. Letourneau Laura Lewis Mary Ley Thomas & Kathleen Lilly D. Michael Lilly Janet Lincoln William & Nancy Linney Elizabeth & L. Richard Littlefield Craig B. & Rosemary Livingston Barbara Locke Carolyn A. Loos Susan M. & David A. Lord Elizabeth Lorenz Caroll L. Lothrop & William E. Russell Jeff Lowell Marla Lowrey Judith Lundahl Mary Jane & Robert J. Lupien Nancy Lynch Charles S. & Gertrude D. Lyon Sharon L. MacCartney Jessica & Daniel Mack Mary C. Mackey Mary B. & David M. Macmillin Philip J. Macpherson Diana G. & Charlton MacVeagh, Jr. Owen Madden Baxter & Barbara Maffett Shirley Mahoney Alison Majeau Antti & Susan Maki Steve Maloney Joseph P. & Marcie Manning Kelley Manson Alice Manwaring Janice Manwaring Paul & Debra Marcote

Tina Mariani Keith & Phyllis Marinoff Wendie H. Marro Frank Marro Lindsay Marshall Patricia A. Martin Sean Martin Roberta Martineau Kathleen & Kenneth A. Marx Dian K. Mathews

Diane & Timothy Matson, Sr. Pamela Matson Mary E. Matthews Joan T. & William E. Maxwell Richard Mays Joseph & Patricia McAndrew Sylvia M. & Craig F. McBeth Donna L. McCabe Margaret K. McCormack Laura McEdward Margaret & James P. McEntee James & Patricia McEwan Marianne & John M. McGauley Joseph McGauley Susan & John McGinnis Noel Mcgonigle Tami McKay John P. & Winifred McKenna Elizabeth B. McKenney Ann McKenzie Heather McKernan Mary K. McKinnon Leslie & David McLean Terrence S. & Patricia McMahon Constance D. McMurray Maura McQueeney Frederick & Helen H. Mead Ellen & Allen Mendelson Clarence G. & Judith A. Merrill H. Michael & Diane Metell Jennifer Michaud Dawn Michelizzi Lisa & Thomas L. Migneault Erika Migneault John W. & Sally D. Miller Christopher Miller Ingrid Miller Russell F. & Emily J. Mills Jillian Miner Joseph & Carol Minichiello Stephanie J. & John F. Minteer Nancy L. Miraldi Elizabeth A. Misiaszek Robert A. & Kim Mitchell Holly Mohan Elizabeth Moitoza Mary Louise & Charles H. Montgomery Susan P. & Robert E. Mooney Virginia M. Moore Mary Ellen Moore Nancy Moore Edward W. Morgan Anna Morgenier Randall Morse

Rosemary Morse Carla M. Richardson & Timothy S. Mowry Anne D. & William D. Moyle, Jr. Joseph L. & Linda E. Mscisz Susan Murata James Murgida Gaylemarie Murphy Joan Murphy Judy Myers

Grace Nadeau Judith Nath Margaret & David E. Nelson Meena D. Neva Susan B. & Jeffrey P. Newcomer Joan Newell

Earick Newton Karen J. & James M. Nickerson Angela & Richard Nicoletti Alvah Niemela Christina A. Niland Todd S. Nolan Susan Norlander Harriet H. Norris Judith D. & Scott L. Northcott Catherine L. & John Northcott Sheila A. Nye

Marcia Ober Maria Oberlander Maureen O’Brien Kathy O’Connell Susan C. & Thomas A. O’Connor Penny Ojala Elizabeth A. Olmstead David P. & Susan B. Olson Walter Olszewski Deborah O’Meara Susan O’Neil

Brian J. & Nancy R. O’Neill Susan & Charles J. Oropallo Ardis D. Osborn Joann S. Osborn Ronald E. & Patricia A. Osimo Clair Oursler Alice Paduchak Chandee Palmer Charles W. Palmer William & Deborah Pamplin John R. Pappalardo

Patricia & Robert F. Parent, Jr. Theodore H. & Ruth Parent Jacqueline K. & Joseph P. Parent

Jane Parent

Debra & Donald Parker Larry W. Parkhurst & Lisa A. Rogers Marcia A. Parody Pamela Parrish Frederick B. & Karen M. Parsells Mary Patenaude Celia A. & Paul S. Pearson Tracy Pelkey Alan & Heather Perez Sandra J. Perko Judith L. Perry Karen Peterson Augusta H. Petrone Alice Picard Charlene Picucci Margaret C. Pierce Patricia & Rodney J. Pierce Barbara Pierce Susan Pineault Anne M. Piper Jane A. & Leslie T. Pitts

Jane E. & Perley E. Plante

Thomas F. & Mary J. Platte

Philip Poirier

Pauline Pollock

Arline J. Polzer

Lisa E. Posco

Jeffrey V. & Cathy P. Poston Judith Potocki Michael J. & Jane Potsaid James Poulette

Amanda Powell Sharon Preziosi David A. Price

Stephen Provost

Gary & Cathleen S. Puffer

Joyce & Joseph Puleo

Thomas P. & Barbara B. Putnam

Nancy Putnam Russell & Dee Raitto

Gisela Rank Sandra L. Rathburn Sandra Rathke Donald E. & Diane L. Ray

Martha M. & William B. Raymond Michael Read

Piper Reason Laura & Michael D. Redmond Julie Reekie

Reinette A. & Brian J. Reilly Martin Reisig Linda & Peter Remy Thomas & Barbara Reynolds Priscilla M. Reyns Sharon Rhoades

Robert C. Rice Joseph A. Richards Marilyn Richardson Randy & Kim Richmond Margaret Richmond Carol J. Riel Carolyn Rieth Josie Rigby Sally Rinehart

Lorraine Rivest

Christie & Bryant Robertson Timothy N. Robertson

Joji Robertson James A. Robinson

Jo Ann R. & Lawrence W. Robinson Linda Roche Robin Rockwell

Denise Roderick Cynthia Rodier Kelly Roe

Phyllis W. & James Rogers

Marjorie Ann Rogers

Susan M. Rondeau

Ronald & Carol A. Roof

Mary D. & Robert M. Rooney, Sr. Jane Rossi

Greg W. Rothman & Linda G. Singer Kathleen Rouleau

John A. Round Cynthia J. Rouvalis

THANK YOU TO OUR 2021-2022 DONORS WHO HAVE HONORED OUR PAST, AND VISION OUR FUTURE

Cynthia A. P. & Gilbert Rowe Wallace H. & Carole U. Rowe

Daryl Z. & Patricia Royce Michael A. Ruane Dunk Rudolf

John M. Rumburg

Peter R. & Virginia H. Russell Josephine & JC Russell Thomas & Cindy Russell Patrick & Michelle Ryan Maureen Sadd Judith Sadoski Richard Sainsbury

Donald R. & Rosemarie San Souci Holly & Richard T. Sanders

Elizabeth & Victor Sandman Carole E. Sands Pearl Sandy Steve & Beth Santora

Sareen B. Sarna & John S. Gesek Shivan Sarna

Eileen & Michael Sarson Ann Sawyer Frank T. Scales

Leonard Scarborough Michael R. Schesser

Connie & John G. Schlegelmilch Philip W. Schlichting

Kurt G. Schmidt & Shelley L. Earley Jeraldine Schmidt Nathan Schmidt Mary M. & Gary W. Scholl Jed Schwartz Nathaniel Schwartz Antonia & David Scobi Jeffrey Scott John D. & Letricia Sears Margaret W. Seaver Susan & Richard Segal Marcia Sexton

Patricia Seymour Polly Seymour Jane M. & Gary M. Shapiro Mary Sharkey

Robert S. & Elizabeth Sharp Jennifer Shaw Thomas & Allison Shea Ann Shedd Vanessa Sheehan

Hugh A. Shelley, Jr.

Howard C. & Nahida C. Sherman

Mary A. Sherwin

Barry S. & Kimberly G. Shonbeck

Janet A. & Charles H. Shook

Karen Sielke

Cynthia M. Sieracki Elizabeth Silegy Jeanne Simanski

Lynn M. & Arthur W. Simington Jessica B. Simpson Winnifred Skeates

Pamela Slack Norma P. Slanetz Lucia Sloane

Peter A. & Kelly A. Smith

Virginia E. Smith Robert I. & Rosemary W. Smith Sharon L. Smith

Laurie R. & Jonathan Smith Lesley Smith Luther Smith Susan M. Soucise Earle & Janet Spafford Elizabeth H. Spaulding Lynn Spendley Norman Spicher Kathleen A. & Lawrence Sportello Carol Sprague James & Sheri L. St. Laurent June St. Lawrence Richard & Sandra St. Pierre David G. Stabler Kevin Starkey Ann Stehney Christine Stelmack Nicholas F. Stenzel Barbara M. Stearns Linda W. Sterling Nancy & Kevin Sterling Cynthia A. H. & Joseph D. Stinson Robert Stocker Sally E. Stockwell Judith Stockwell Celeste Stoff

Patricia A. & Michael D. Stoudt Sharon P. & Nathaniel M. Stout Phil & Deborah Stromgren Susan & Paul Sturges Elizabeth B. Sullivan Richard G. Swahnberg Annagreta & G. W. Swanson Mary E. & David Swett Sandra & William J. Swinburne Jeanie M. Sy David Sylvester Robert Taft Richard J. Talbot Kelly Tamaki Nancy C. Tanner Patricia & John Targett Lucille M. Tatro Linda A. Taylor Rhonda & Edward Taylor Nancy Taylor Dixie Gurian & Cameron M. Tease J Robert & Jean E. Tedrick Maria H. & Kimball B. Temple Julie A. & Gregg R. Tewksbury Lisa & David P. Therrien

Lianne S. & Robert W. Therrien Arnold & Jean Thibodeau Nancy P. & Rodney C. Thompson Diane Thompson Robert Thompson Sharon & Marc P. Tieger Anna Z. Tilton Deborah L. Fleming & Michael Timmerman

Martha Timothy Susan Tinnin

Dianne M. & Robert A. Tisdale Christine Tobin

Judith Tobin David P. Todd Alan Toegel Shawn M. Tomkinson Irene Tomkinson

Elizabeth Tong Ronald A. Tourgee Charles P. & Evelyn P. Tranfield Barbara S. & Anthony M. Tremblay Kristen E. Trombly Faith M. Trueax Gill G. Truslow Heidi A. Tucker Robert I. Tupper Wendy A. Turek Anne D. Twitchell Penelope R. & Jeffery H. Vaine Mary B. Vallier-Kaplan Megan K. Vecchione

Stephen A. & Susan D. Vekasy Nancy T. & Paul Vincent Lisa M. Vincent Carole Vogeley Melinda Vonderhorst Millard D. Waite Catherine S. Waitt Joseph C. & Judith M. Walier Sharon Waliszewski

Bill Walker & Jennie Norman Jessica Walker Kathleen M. & James G. Wall Patricia Waller Stephen G. & Cynthia A. Walsh

Derek Walsh Greg Walsh Karen Walsh

Sandra Van de Kauter & John N. Walter, Jr. Helen D. Wambolt Ruth O. Warren Erica Warzybok Raymond C. & Patricia Waterman Douglas K. Watson Joan Watson Donna & Daryl Watterson Shana Weaver Mirandi Wechsler

April Weed Pilar Abaurrea & Gary E. Wehrwein Kathleen S. & William J. Weibel, Sr. James Weidner

Mary Weist Thomas M. & Susan B. Weller Karin & Peter Wells

Katherine West Susan & Thomas C. Westra Deborah L. Whalen

Laurie Whaley Jeannine Wheeler David H. & Lena Whipple

Richard Whitcomb

Donald R. & Marilyn B. White John White

Tina White Cynthia Whitten Kathleen & Lewis N. Whittum Lynn Whynot Bruce & Kelly Wichland David & Kathryn Wichland Ramona Wilcox

Joseph Wilkos

Eileen M. Willard

Beth & Thomas Willey Jane Willis

Judith E. Wilmeth

Randall K. & Rebecca Wilson David F. Wilson

Mark Wilson Nikki Wilson Helen E. Wilson

Margaret Winters Barbara Wixom

Mary Ann T. Wood

David R. & Sandra A. Woodard

George A. & Elizabeth R. Wright

JB & Loren B. Wright

Carroll D. & Darlene Wright Lisa M. & Robert W. Wyman Carol H. Yadeta

Jo-Anne L. & Steven D. Yardley Yvette Yeager

Nancy M. Yeaton

Lorraine P. & Joseph H. Youngs Sandra Yurku

John F. & Victoria B. Zarrella Sherry Zeiner Louise Zerba

Debra M. Zilske

William G. Zimmerman Martha J. Zimmerman George E. Zink

THANK YOU TO

DONORS WHO HAVE HONORED OUR PAST, AND VISION OUR FUTURE

Carol M. Bader

Joseph Baute Thomas H. Chabott Kathleen Chertok Claribel E. Clapper Barbara W. Eaton

Zaven Giragosian Lloyd K. Hill George E. & Elizabeth A. Joslin Kenneth Jue Philip Kohl Grace E. Lindelius

BUSINESSES, GRANTS & ORGANIZATIONS

Acworth Women’s Club

Adelard A & Valeda Lea Roy Foundation

Agnes M. Lindsay Trust, The American House

Barbara Eaton Bay Point Financial Belletetes, Inc.

Blais & Associates Realtors Boston Foundation

Bragdon, Baron & Kossayda, PC

Buckley Associates

C&S Wholesale Grocers Cathedral of the Pines Cersosimo Industries, Inc.

Charity Gift Certificates

Cheshire County

Chrome Divas of Corpus Christi Texas

Colonial Rental Management

Congregation Church of Temple Connecticut River Sportsmen’s Club PC Connection

Davis Oil Co

Dixie Wonders Trust Douglas Company, Inc.

Dublin Community Church Ellis Robertson Corp

Elm City Rotary

First Church in Jaffrey Fitchburg Art Museum

Frank M. Barnard Foundation, Inc.

Ganio Land Management

Gilbert Verney Foundation

Halliday Real Estate

Hannaford

HKS Associates, Inc.

Hogancamp PC

Home Care Specialists HCS

Homestead Thrift Shop

Hubbard Farms Charitable Foundation

Independent Order of Odd Fellows, Lodge 69

Iola and Leslie Hubbard Fund

Ira S and Gertrude S Hubbard

James F Kelly and Fernande Kelly

Charitable Trust

John G. Burk & Associates

Johnson & Johnson Matching Gifts Program

Johnson Family Fund at Cheshire Health Foundation

Keating Plumbing Heating & Cooling Keene High School Class of 1971 Keene High School Interact Club Keene Signworx Keene Swamp Bats Kingsbury Fund

Kiwanis Club of Keene Ladies Aid Society of the

Russell & Roberta Nylander Mary Peroni Anita C. Piermattei Roy K. Piper Wendell L. Pollock Thomas Potocki

Janet U. Schaefer

Isobel Sportello Norman E. & Barbara T Woodward

Westmoreland United Church

Ladies Charitable Society

Madelaine G. von Weber Trust

Maple Hill Nursery

Mary Louise Billings Trust

Mascoma Bank, Keene Melanson Charitable Fund

Microcatheter Components LLC

Monadnock Community Hospital

Nelson Congregational Church Network for Good New Hampshire Ball Bearings, Inc.

Nissan of Keene

Oleonda Jameson Trust

Oliver and Dorothy Hubbard Fund

Oster & Wheeler, PC

People’s United Community Foundation

Peterborough Lions Club

Peterborough Marble and Granite Works

Practical Psychotherapy, PLLC Quabbin Wire & Cable Co., Inc.

Raymond James Charitable RBC Wealth Management River Center - A Family & Community Resource Center

RiverMead Savings Bank of Walpole

Shattuck Golf & Dublin Road Taproom

SimiTree Consultants

Special Olympics New Hampshire St. James Episcopal Church

Surry Mountain Fund

The Insurance Source, Inc.

The Melanson Company

The Richards Group

The Stage Restaurant

TIAA

Timken Foundation of Canton

Trinitarian Congregational Church

United Church of Acworth, Female

Charitable Society

United Way of Massachusetts Bay and Merrimack Valley W.S.Badger Company, Inc.

Walter and Dorothy Peterson Trust Wells Law, PC

Westside Animal Hospital

Whitney Brothers

William Marconi Italian Club

Wilson Language Training Corporation

WMUR TV - Manchester, NH

Women’s Fellowship of UCC, Keene Yankee Publishing, Inc.

Keene Signworx Maple Hill Nursery

GIFTS-IN-KIND DONORS PLANNED GIVING CIRCLE OF HOPE SOCIETY

Stephen Curtin Barbara Duckett Audrey Hadcock Megan B. Kidder Ilona W. Kwiecien

Carolyn Loos Betsey A. McPeake Allen & Ellen Mendelson William Moyle John C. Norton Dorothy Peterson Allan R. Saari Sareen Sarna Charbel Semaan Allen L. Smith Jeanie M. Sy

W.S.Badger Company, Inc. Ms. Diane Faureau Emerald Casino Shivan Sarna

Sita Sarna Ann Heffernon

GemGraphics

In Memoriam. We are grateful to these generous donors whose planned and estate gifts continue to support the work of HCS today.

Lewis T. Batt Jr. Family Trust O. Miriam Bednar Arlene Dart Barbara Eaton Jeanne B. Eaton Trust Elizabeth Fissette David A. Glynn Jane R. Green Helen F. Hazelton Trust

Norma Hemphill Theodore Hoffman E. Allen Holbrook Robert & Liesbeth V. Hook Oliver & Dorothy P. Hubbard Robert P. Hubbard

Iola & Leslie Hubbard Fund

Ira & Gertrude Hubbard Memorial Hubbard Farms Charitable Foundation Johnson Family Fund Ruth Kelom Frederick P. Koallick Mary I. Laberge Olive M. Labrie Charles B. Loos Edith Mulliner Frederick Norris Dorothy & Walter Peterson Eleanor Proudman Nancy P. Shea Trust Walter Sy

Catherine Weathers Weston V. Wilbur Jr. Barbara W. Wilson Trust Dixie W. Wonders Trust

If you are interested in planned giving for HCS and becoming a Circle of Hope Society member, please contact Sareen Sarna at ssarna@hcsservices.org or 603-352-2253.

BY SOURCE

THE AYLENE WOZMAK HOSPICE ENRICHMENT ADVANCEMENT LEGACY (HEAL) PROGRAM

They say I am an icon and that I am the face of Hospice. I say I showed up to listen with the intention in hearing our patients and their families’ stories with respect, dignity, and with an open heart. With trust, tears, and laughter, I was allowed into their suffering. Most often, we had little time to manage their suffering, so in collaboration with the Hospice team, a plan develops and the journey begins. The burden is now shared and that in itself can help to lessen the suffering.

Dr. Elisabeth Kubler-Ross, author of “On Death and Dying,” developed the 5 stages of grief and has become the source of wisdom for those who work in Hospice. She also suggested that death be considered a normal stage of life. I quote her, “We are living in a time of uncertainty, anxiety, fear, and despair. It is essential that you become aware of the light, power, and strength within each of you and that you learn to use those inner resources in service of your own and others’ growth.”

Hospice allowed me the grace and time which I brought to patients and their families, and for this, I will be grateful for the rest of my life.

The Aylene Wozmak HOSPICE ENRICHMENT ADVANCEMENT LEGACY (HEAL) program has been established for Hospice staff serving people in our communities with end- of- life care. The intent of the program is to nuture and support organized programs to enrich their continued work focusing on the mind, body and spirit. Each employee on the Hospice team plays a vital role in providing the best care to both the patient, their families, and friends.

HONORING OUR OWN

GRACE NADEAU, STATE OF NEW HAMPSHIRE LNA OF THE YEAR

The Home Care, Hospice and Palliative Care Alliance of New Hampshire has awarded Grace Nadeau, Licensed Nursing Assistant at HCS, the prestigious honor of LNA of the Year. The statewide award recognizes an LNA who offers excellence in patient care and is a superb communicator with patients, families, and other staff. In her 22 years as an LNA at HCS, Grace Nadeau has cared for people in a wide variety of settings, private duty, adult day care, home health, and now in hospice.

Vanessa Sheehan, Hospice and Palliative Care Clinical Nurse Manager at HCS told of her firsthand experience with Grace: “I had the honor of seeing Grace care for a patient at Maplewood Nursing Home that was actively dying. She sat with the patient holding his hand for a while before starting any personal care to make sure the family felt comfortable with her there and wanted the patient to feel her presence. Her calm, comforting demeanor put the family at ease immediately. The simple things that Grace does make such a huge impact.”

In home care, adult day care, and now in hospice, Grace has excelled in providing care to clients that maintains their dignity and independence. As her 96-year-old client said, “We couldn’t do it without her. We call her amazing Grace.”

OUR EMPLOYEES SAY:

100% of HCS employees agree that the agency contributes to the community 95% of HCS employees agree their work is meaningful 95% of HCS employees agree they enjoy the work that they do

OUR SURVEYORS SAY:

Two Deficiency Free surveys in Home Health and Hospice

OUR COMMUNITY SAYS:

Keene Sentinel Readers’ Choice Award over ten years in a row voted HCS first place for Best Local Home Care Agency

Monadnock Shopper Awards: Best local Homecare Agency

Monadnock Broadcasting Group: Gold Awards

Best Home Care and Hospice Best Nonprofit Organization Best Place to Work

Grace and Muriel, 2012